Provider Demographics
NPI:1134330970
Name:HOLISTIC HEALTH CONSULTANTS, LLC
Entity Type:Organization
Organization Name:HOLISTIC HEALTH CONSULTANTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:YASKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-824-8501
Mailing Address - Street 1:279 WALKERS MILLS ROAD
Mailing Address - Street 2:
Mailing Address - City:BETHEL
Mailing Address - State:ME
Mailing Address - Zip Code:04217-5905
Mailing Address - Country:US
Mailing Address - Phone:207-824-8501
Mailing Address - Fax:207-824-0975
Practice Address - Street 1:279 WALKERS MILLS ROAD
Practice Address - Street 2:
Practice Address - City:BETHEL
Practice Address - State:ME
Practice Address - Zip Code:04217-5905
Practice Address - Country:US
Practice Address - Phone:207-824-8501
Practice Address - Fax:207-824-0975
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332900000XSuppliersNon-Pharmacy Dispensing Site